The Population Health Strategy Director is responsible for improving the quality of care and outcomes while managing costs for our Illinois members. The Population Health Strategy Director identifies health needs including chronic diseases, disabilities, and health disparities within the health plan membership and develops functional strategies (often segment specific) to address these. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision; Uses independent judgment requiring analysis of variable factors and determining the best course of action.
Identify health needs such as chronic diseases or disabilities, or the health needs of the underserved and influence department's strategy.
Develop strategic design, operational implementation plan, and ongoing evaluation of population health initiatives based on a deep understanding of scientific population health principles.
Serve as the consultative subject matter expert and liaison to internal and external stakeholders on population health activities and established goals.
Provide insights required to improve coordination of care, access to care, member utilization of healthcare systems, and improve overall health outcomes.
Collaborate with cross functional teams such as clinical, operational, and financial to support Market-wide initiatives.
REQUIRED QUALIFICATIONS:- Must reside in Illinois or within 40 miles of the border; Occasional travel to office for staff meetings, training, etc.
- Bachelor's degree in nursing, social work, health services research, health policy, information technology or related field.
- Minimum five (5) years of progressively responsible professional experience in population health, service coordination, ambulatory care, community public health, case or care management, or coordinating care across multiple settings and with multiple providers.
- Experience working in Medicaid.
- Proficiency in Microsoft applications including Word, Advanced Excel, and PowerPoint.
- Ability to analyze data and make data-driven recommendations for quality improvement.
- Excellent interpersonal skills; ability to develop effective relationships with a broad array of people internally and externally, including community partners.
- Experience with program planning, implementation, and program evaluation
- Ability to take personal initiative and work independently, as well as part of a team.
- Ability to meet deadlines in a complex and fast-paced environment.
PREFERRED QUALIFICATIONS:- Previous Managed Care experience.
Additional Information- Workstyle: This is a hybrid position with travel.
- Typical Workdays and Hours: Monday - Friday; 8:00am - 5:00pm Central Standard Time (CST)
- Travel: Up to 25% travel across Illinois to meet community partners, and various care teams.
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours40
Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$150,000 - $206,300 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
